Average Medicaid Office Visit Payments in Pennington, NJ: $67.53
Avg. Paid
$67.53
Range
$4.25 – $156.61
Total Claims
75,303
Providers
96
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Pennington, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ahmar Shakir
2 Capital Way Ste 356 |
$83.21 | 10,042 | 9,672 |
|
Ronald H Gonzalez
2 Capital Way |
$47.76 | 6,809 | 6,305 |
|
Nina Lynch
2 Capital Way Ste 456 |
$44.48 | 5,216 | 4,710 |
|
Soumen Samaddar
84 Route 31 N |
$87.65 | 4,907 | 4,505 |
|
Madhavi Kakarla
84 Route 31 N Ste 103 |
$88.08 | 3,651 | 3,375 |
|
Nazish Ahmad
2 Capital Way Ste 290 |
$67.03 | 2,385 | 2,234 |
|
Melissa Guerrero
800 Denow Rd |
$133.10 | 2,358 | 1,858 |
|
Pirouz Parang
2 Capital Way Ste 385 |
$58.63 | 2,244 | 2,067 |
|
Yingzi Deng
1 Capital Way |
$98.60 | 1,937 | 1,852 |
|
Eric Michael Struble
2 Capital Way Ste 385 |
$67.41 | 1,676 | 1,608 |
|
Sajina Prabhakaran
2 Capital Way |
$59.03 | 1,548 | 1,412 |
|
Cecilia Perez
2 Capital Way Ste 359 |
$58.85 | 1,490 | 1,281 |
|
Thomas Wieczenski
1 Capital Way |
$74.70 | 1,402 | 1,287 |
|
Erika Villanueva
2 Capital Way Ste 290 |
$61.57 | 1,393 | 1,312 |
|
Lisa Monahan
2 Capital Way Ste 385 |
$63.70 | 1,312 | 1,224 |
|
Capital Health System, Inc.
1 Capital Way |
$61.15 | 1,299 | 1,079 |
|
Neil Saxena
2 Capital Way Ste 385 |
$51.22 | 1,234 | 1,155 |
|
Prachi U Thanawala
2 Capital Way Ste 385 |
$63.48 | 1,114 | 1,024 |
|
Kaitlin Lynch
2 Capital Way Ste 220 |
$30.25 | 1,065 | 925 |
|
Catherine Elizabeth Kasian
2 Capital Way Ste 290 |
$52.84 | 1,043 | 976 |
|
Rishi Patel
2 Capital Way Ste 550 |
$71.62 | 976 | 893 |
|
Lee M Buono
2 Capital Way |
$65.04 | 973 | 943 |
|
Staci Priano
2 Capital Way Ste 456 |
$45.31 | 972 | 936 |
|
William John Torelli
2 Capital Way Ste 550 |
$64.33 | 935 | 877 |
|
Satvik Shah
2 Capital Way Ste 385 |
$69.17 | 927 | 860 |
|
Martina Taylor
1 Capital Way |
$156.61 | 849 | 699 |
|
Himanshu P Desai
2 Capital Way Ste 487 |
$38.31 | 827 | 796 |
|
Sarah Sordo
2 Capital Way Ste 359 |
$50.18 | 747 | 664 |
|
Dongyoun Deborah Lee
2 Capital Way Ste 220 |
$50.31 | 725 | 628 |
|
Lane Moskoff
1 Capital Way |
$51.95 | 714 | 642 |
|
Victor Iturbides
2 Capital Way |
$64.72 | 649 | 566 |
|
Vivian Phung
2 Capital Way Ste 290 |
$37.70 | 636 | 575 |
|
Joanna Lynn Tolin
2 Capital Way Ste 290 |
$63.03 | 518 | 478 |
|
Uzma Kewan
1 Capital Way |
$13.00 | 492 | 205 |
|
Hongyan Liang
2 Capital Way Ste 220 |
$52.73 | 492 | 403 |
|
Erica Ann Linden
2 Capital Way Ste 220 |
$68.11 | 477 | 400 |
|
Lauren Eisenhauer Mcmarlin
800 Denow Road |
$21.70 | 401 | 373 |
|
Sheri A Gillis-Funderburk
2 Capital Way |
$50.40 | 376 | 333 |
|
Shil Cwalinski
1 Capital Way |
$55.59 | 372 | 342 |
|
Harit Desai
2 Capital Way Ste 385 |
$52.65 | 369 | 339 |
|
Elizabeth Raleigh
84 Route 31 N Ste 103 |
$79.01 | 369 | 332 |
|
Naresh Nagella
2 Capital Way Ste 357 |
$137.84 | 352 | 337 |
|
Danielle Ann Melican
2490 Pennington Rd |
$45.51 | 345 | 261 |
|
Thomas Westover
1 Capital Way |
$131.90 | 339 | 303 |
|
Gregg Giannina
1 Capital Way |
$48.25 | 329 | 271 |
|
Taher Modarressi
21 Route 31 N Ste B6 |
$90.27 | 322 | 303 |
|
Devdatta R Gabale
2 Capital Way |
$75.30 | 309 | 302 |
|
Arnold Stewart Witte
2 Capital Way Ste 456 |
$63.80 | 307 | 271 |
|
Iraj Forouzan-Gandashmin
One Capital Way |
$67.30 | 305 | 295 |
|
Christine Luda Gordynskiy-Ageyev
1 Capital Way |
$35.51 | 291 | 243 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Pennington, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pennington, NJ is $67.53 per claim, based on 75,303 claims from 96 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Pennington, NJ?
There are 96 Medicaid providers offering Office Visit related services in Pennington, NJ according to public payment data.
What is the price range for Office Visit in Pennington, NJ?
Medicaid reimbursement for Office Visit in Pennington, NJ ranges from $4.25 to $156.61 per claim, with an average of $67.53. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Pennington, NJ
Emergency Room Visit
Avg $246.65
274,846 claims
Blood Work & Lab Tests
Avg $5.92
242,171 claims
EKG / ECG (Electrocardiogram)
Avg $19.51
108,405 claims
Ultrasound
Avg $157.14
67,951 claims
Urinalysis & Urine Tests
Avg $2.52
58,813 claims
X-Ray
Avg $38.49
50,958 claims
Prescription Medications
Avg $1.73
29,737 claims
Pathology & Lab Services
Avg $62.84
27,156 claims